MARK GARDNER

COFFEYVILLE, KS
NPI1699824755
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2007-01-09
Last Update Date2007-07-08
Business Address
-- MARK GARDNER
1601 W 4TH ST
COFFEYVILLE, KS 67337-3333
Phone number: 620-251-8180
Mailing Address
-- MARK GARDNER
1601 W 4TH ST
COFFEYVILLE, KS 67337-3333
Phone number:
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